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Individual

MRS. AMANDA SUE BURKHOLDER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1815 SCOTT ST, NAPOLEON, OH 43545-1086
(419) 599-0170
(419) 599-0370
Mailing address
13511 COUNTY ROAD C, WAUSEON, OH 43567-9413
(419) 335-0101

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0332551
OH

Other

Enumeration date
10/27/2020
Last updated
10/27/2020
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